
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.
Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.
Pyramid Healthcare – Charlotte ACTT
📍 Charlotte, NC
💰 $60,000 – $70,000 annually (based on experience)
🕒 Full-Time | Monday – Friday | 8-Hour Shifts
Pyramid Healthcare’s Charlotte Assertive Community Treatment Team (ACTT) is seeking a compassionate and motivated Registered Nurse (RN) to provide high-intensity behavioral health nursing services directly within the community.
This position is ideal for nurses looking to step away from traditional bedside settings and into a rewarding, field-based role where they can build meaningful relationships, promote recovery, and make a lasting impact in the lives of individuals living with severe mental illness.
Our ACTT program operates as a “hospital without walls,” delivering comprehensive, community-based mental health services to individuals who need intensive support and may otherwise struggle to access care.
🚗 Company vehicle, cell phone, and mileage reimbursement provided
🧠 ACTT-specific onboarding and ongoing professional development
⏰ Predictable Monday–Friday schedule with flexible field-based structure
🤝 Collaborative, mission-driven multidisciplinary team environment
💼 Opportunity to make a direct impact in community mental health
📞 Rotating on-call schedule: 1 weekday evening and rotating weekends
Coordinate client care and collaborate with physicians, providers, and treatment team members
Monitor medication compliance and administer IM injections as prescribed
Manage medication inventory, refills, and nursing supplies
Record vital signs and assist providers during client appointments
Complete AIMS assessments upon admission and every six months thereafter
Provide medication education to clients, families, and ACTT staff
Transport clients to medical appointments and community resources as needed
Deliver nursing services directly in community settings throughout the Charlotte area
Participate in rotating crisis response and on-call coverage, including:
After-hours assessments
Hospital diversion support
Commitment procedures
Maintain accurate documentation and compliance with program standards
Perform additional duties as assigned
Active Registered Nurse (RN) license in North Carolina
Valid driver’s license with the ability to travel locally throughout the community
Ability to work independently while collaborating within a multidisciplinary team
Strong communication, organization, and critical thinking skills
Behavioral health, psychiatric, or community nursing experience preferred, but not required
Nurses who value autonomy and variety in their workday
Clinicians passionate about community mental health and recovery-focused care
RNs seeking meaningful patient relationships without hospital burnout
Professionals who enjoy flexible, community-based work while maintaining a weekday schedule
Pyramid Healthcare is a national leader in behavioral healthcare, providing treatment for mental health and substance use disorders across multiple levels of care. Our ACTT teams deliver evidence-based, person-centered services that empower individuals to live healthier, more independent lives within their communities.
👉 Apply today and become part of a team dedicated to delivering life-changing care across the Charlotte community.
Pyramid CORE Values:
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.
Total Rewards for Full-Time Positions:
Want to know more?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Welcome to Pyramid Healthcare.
A premier provider of high quality, behavioral health care founded in 1999 and headquartered in central Pennsylvania, we operate over 80 facilities across the Commonwealth, New Jersey, Maryland, Ohio, Virginia and West Virginia and offer a full continuum of mental health, substance use and and recovery services for adults and teens.
Our dedicated admissions representatives are available to schedule confidential assessments and admissions, recommend appropriate treatment options, assist with insurance verification and facilitate complimentary transportation to and from our detoxification and inpatient program locations.
Our facilities are accredited by CARF or The Joint Commission and staffed by licensed and qualified professionals.